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NPI Code Detail

MEDICARE: MASON EUGENE KEMPH

MEDICARE: MASON EUGENE KEMPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor94012TX

General Provider Information

NPI Number : 1669310603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASON EUGENE KEMPH
Provider Business Mailing Address
First Line : 600 E FM 1626 APT 4201
Second Line :
City : AUSTIN
State : TX
Zip : 78748-2696
Country : US
Telephone Number : 469-500-6009
Fax Number :
Provider Business Practice Location Address
First Line : 2021 GUADALUPE ST STE 260
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 469-500-6009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ MASON EUGENE KEMPH ” Practice Location

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